24 research outputs found
Understanding barriers and outcomes of unspecified (non-directed altruistic) kidney donation from both professional's and patient's perspectives: research protocol for a national multicentre mixed-methods prospective cohort study.
INTRODUCTION: Living donation accounts for over one-third of all kidney transplants taking place in the UK. 1 The concept of anonymously donating a kidney to a stranger (non-directed altruistic or unspecified kidney donation (UKD)) remains uncomfortable for some clinicians, principally due to concerns about the motivations and long-term physical and psychological outcomes in this donor group. AIMS: The research programme aims to provide a comprehensive assessment of the unspecified donor programme in the UK. It aims to identify reasons for variations in practice across centres, explore outcomes for donors and ascertain barriers and facilitators to UKD, as well as assess the economic implications of unspecified donation. METHODS: The research programme will adopt a mixed-methods approach to assessing UKD nationally using focus groups, interviews and questionnaires. Two study populations will be investigated. The first will include transplant professionals involved in unspecified kidney donation. The second will include a 5-year prospective cohort of individuals who present to any of the 23 UK transplant centres as a potential unspecified living kidney donor. Physical and psychological outcomes will be followed up to 1 year following donation or withdrawal from the donation process. A matched sample of specified donors (those donating to someone they know) will be recruited as a control group. Further qualitative work consisting of interviews will be performed on a purposive sample of unspecified donors from both groups (those who do and do not donate). DISSEMINATION: The findings will be reported to NHS Blood and Transplant and the British Transplant Society with a view to developing national guidelines and a protocol for the management of those presenting for unspecified donation. TRIAL REGISTRATION NUMBER: ISRCTN23895878, Pre-results
Teaching ultrasound in a curricular course according to certified EFSUMB standards during undergraduate medical education: a prospective study
An integrated ultrasound curriculum (iUSC) for medical students: 4-year experience
A review of the development and implementation of a 4-year medical student integrated ultrasound curriculum is presented. Multiple teaching and assessment modalities are discussed as well as results from testing and student surveys. Lessons learned while establishing the curriculum are summarized. It is concluded that ultrasound is a well received, valuable teaching tool across all 4 years of medical school, and students learn ultrasound well, and they feel their ultrasound experience enhances their medical education
Current aspects with regard to the link between pregnancy and inflammatory bowel disease
Twelve tips for integrating ultrasound guided peripheral intravenous access clinical skills teaching into undergraduate medical education
PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL
Introduction. Patient safety and the avoidance of inhospital
adverse events is a key focus of clinical practice
and medical audit. A large of proportion of medical errors
affect surgical patients in the peri-operative setting. Safety
checklists have been adopted by the medical profession
from the aviation industry as a cheap and reliable method
of avoiding errors which arise from complex or stressful
situations. Current evidence suggests that the use of periooperative
checklists has led to a decrease in surgical morbidity
and hospital costs.
Aim. To assess the quality of implementation of a
modified patient safety checklist in a UK district general
hospital.
Methods. An observational tool was designed to assess
in real time the peri-operative performance of the surgical
safety checklist in patients undergoing general surgical,
urological or orthopaedic procedures. Initiation of the
checklist, duration of performance and staff participation
were audited in real time.
Results. 338 cases were monitored. Nurses were most
active in initiating the safety checklist. The checklist was
performed successfully in less than a minute in most cases.
11-24% of staff (according to professional group) present
in the operating room did not participate in the checklist.
Critical safety checks (patient identity and procedure name
were performed in all cases across all specialties. Variations
were noted in checking other categories, such as deep
vein thrombosis (DVT) prophylaxis or patient warming.
Conclusions. There is still a potential for improving the
practice and culture of surgical patient safety activities.
Staff training and designation of patient safety leadership
roles is needed in increasing compliance and implementation
of patient safety mechanism, such as peri-operative
checklists. There is significant data to advocate the need to
implement patient safety surgical checklists internationall
Laparoscopic or Open Surgery: The Educational Benefit to Medical Students
Background Recent advances in surgery have enabled traditional open procedures to be performed laparoscopically. We carried out a survey in order to determine the impact of this on learning opportunities for students attending theatre. Methods We designed a nine point survey, completed by fifty medical students from Leicester Medical School on completion of their surgical attachment at a busy district general hospital. Results Undergraduates feel open procedures are superior over laparoscopic cases when asked specifically about anatomical knowledge gained, teaching delivered and the ability to follow surgical procedures. Conclusion We conclude that to continue to attract medical students into a surgical career undergraduate teaching ought to reflect current clinical practice. Novel educational techniques which utilize laparoscopy can be an excellent adjunct to traditional teaching methods